NPI | 1063135507 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY D JARVIS Owner / Executive Director 937-673-6988 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-09-20 |
Last Update Date | 2022-09-20 |